Individual
DR. ELIZABETH CAROL GATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST # 641, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 686-8765
Mailing address
4301 W MARKHAM ST # 641, LITTLE ROCK, AR 72205-7101
(501) 686-8000
(501) 686-8765
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
159435
NY
207R00000X
Internal Medicine Physician
Primary
E-7304
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000401503014
BSNENY
NY
05
—
01508465
—
NY
01
—
10006299
CDPHP
NY
01
—
110247037
RRMCR
NY
01
—
11948
MVP
NY
01
—
2697144
GHI
NY
01
—
72441
GHIHMO
NY
01
—
820585734
TRICARE
NY
Enumeration date
09/19/2006
Last updated
01/12/2012
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